Venous ulcers — also known as venous stasis ulcers or varicose ulcers — are open wounds that occur on the lower legs and ankles due to poor blood circulation. These ulcers are often caused by chronic venous insufficiency, in which the veins struggle to return blood to the heart.

Venous ulcers are a prevalent problem, especially among older adults, and they can be painful and difficult to heal without proper treatment by a vascular specialist.

Causes of venous ulcers

Venous ulcers are primarily caused by chronic venous insufficiency. Several factors can contribute to this condition, including varicose veins, deep vein thrombosis (DVT), obesity, prolonged inactivity or a previous trauma to the leg or ankle.

Symptoms of venous ulcers

Venous ulcers have distinct symptoms, including:

• Open wounds, typically on your ankle or lower leg
• Pain and discomfort
• Swelling
• Red or brown discoloration
• Itching and tingling
• Foul odor, especially in advanced cases

Treatment options for venous ulcers

Proper management and treatment are crucial for promoting healing and preventing complications. Your treatment plan may include:

• Compression stockings
• Wound dressings
• Elevation of the affected leg
• Exercise to increase blood flow
• Wound debridement to remove damaged tissue from the ulcer
• Medications such as topical or oral antibiotics
• Skin grafting for larger or non-healing ulcers

Venous ulcers are a common and challenging condition often arising from chronic venous insufficiency. Prompt and appropriate treatment can significantly improve healing outcomes and prevent recurrent ulcers. If you have a venous ulcer, call to make an appointment with a vascular specialist for an evaluation and guidance.

Venous Ulcers Frequently Asked Questions

Can a venous ulcer be cured?
Yes, venous ulcers can be cured with proper treatment. This often involves addressing the underlying chronic venous insufficiency and using methods such as compression therapy and wound care.

What does a venous skin ulcer look like?
A venous skin ulcer typically appears as an open wound on the lower leg or ankle. It may be accompanied by symptoms like swelling, redness and a foul odor.

How do you treat a leg ulcer?
Treatment for a leg ulcer involves managing the underlying causes, such as chronic venous insufficiency and using compression stockings, wound dressings and medications as needed.

What happens if a venous ulcer is left untreated?
If a venous ulcer is left untreated, it can lead to severe complications, including infections and chronic wounds. In extreme cases, untreated ulcers can contribute to more serious conditions like sepsis.

Can leg ulcers lead to sepsis?
Yes, if a venous ulcer is not properly managed, it can become infected and potentially lead to sepsis, which is a life-threatening condition.